GRAND LAKE FOOT AND ANKLE CENTER
NPI 1750937090
Durable Medical Equipment & Medical Supplies in Saint Marys, OH

NPI Status: Active since August 13, 2019

Contact Information

1013 E SPRING ST
SAINT MARYS, OH
ZIP 45885
Phone: (419) 394-8664
Fax: (419) 394-1148

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  • Organization
  • Durable Medical Equipment & Medical Supp...

About GRAND LAKE FOOT AND ANKLE CENTER

This page provides the complete NPI Profile along with additional information for Grand Lake Foot And Ankle Center, a provider established in Saint Marys, Ohio operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1750937090 assigned on August 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Grand Lake Foot And Ankle Center. The authorized official of this NPI record is Tricia A Pohl (Cfo)

NPI
1750937090
Provider Legal Name
JTDM FAMILY PRACTICE LLC
Other Organization Name
GRAND LAKE FOOT AND ANKLE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1013 E SPRING ST SAINT MARYS, OH 45885
Location Phone
(419) 394-8664
Location Fax
(419) 394-1148
Mailing Address
200 SAINT CLAIR AVE SAINT MARYS, OH 45885
Mailing Phone
(419) 394-3335
Mailing Fax
(419) 394-1148
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2019
Last Update Date
02-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRICIA A POHL

Authorized Official Title
CFO
Authorized Official Phone
(419) 394-3335

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750937090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710018314018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 3 + 1 + 4 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750937090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DR. EUGENE R LITTLE JR. D.P.M.

Podiatrist

(Foot & Ankle Surgery)

1013 E SPRING ST
ST MARYS, OH
ZIP 45885

(419) 394-8664

FOOT AND ANKLE CENTERS OF OHIO, INC.

Podiatrist

(Foot & Ankle Surgery)

1013 E SPRING ST
ST MARYS, OH
ZIP 45885

(419) 394-8664

CHRISTOPHER JOHN STUCKE DPM

Podiatrist

(Foot & Ankle Surgery)

1013 E SPRING ST
SAINT MARYS, OH
ZIP 45885

(419) 394-8664

JENNIFER ROSE OLIVER

Nurse Practitioner

1013 E SPRING ST
SAINT MARYS, OH
ZIP 45885

(419) 394-8664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750937090, enumerated as an "organization" on August 13, 2019.

The provider is located at 1013 E SPRING ST SAINT MARYS, OH 45885 and the phone number is (419) 394-8664.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.